Impactful Strategies to Lower Cholesterol: Diet, Exercise, and Medication in North America

Lowering high cholesterol often starts with a practical daily routine. In both Canada and the United States, simple changes to eating and activity can bring meaningful drops in cholesterol levels for many people. This approach is supported by researchers at leading medical centers who emphasize a clear first step: confirming cholesterol levels through a routine test and then working with a clinician to tailor a plan. If results show elevated levels, a doctor typically recommends a diet that reduces saturated fats, limits red and processed meats, and favors vegetables, whole grains, and heart-healthy fats such as olive oil and nuts. In some cases, a period of two days per week with little to no animal products is suggested to further improve lipid balance. After about three to six months, a follow-up check helps determine how well the diet is working and whether any adjustments are needed [Molchanova, National Research Center for Treatment and Preventive Medicine].

The plan usually includes added physical activity. A practical starting point is at least 10 minutes of light energy from morning exercise, with the option to increase over time. The key is to align the regimen with personal endurance and enjoyability so activities feel sustainable. For many people, a gentle beginning of five to ten minutes can grow into a daily routine that feels natural. When the weather is nice, cycling, brisk walking, or a jog for thirty minutes or more becomes an excellent option. Some people track steps, aiming for roughly six to ten thousand steps per day, which is a reasonable target for many adults in North America [Molchanova, National Research Center for Treatment and Preventive Medicine].

There are situations where diet and exercise alone do not lower cholesterol to target levels. In such cases doctors may consider medications like statins, chosen based on an individual assessment of risk and overall health. Importantly, taking medicine does not mean abandoning dietary changes or physical activity; combining medication with ongoing lifestyle efforts often yields the best results. In North American clinical practice, this multimodal approach is linked to a significant reduction in cardiovascular risk, including heart attack and stroke, especially when started early and used consistently [Molchanova, National Research Center for Treatment and Preventive Medicine].

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